RESUMO
The data of the authors' work based on the experience gained with 36,500 telecardiological consultations provided within the framework of the counselling center point to the importance of taking into consideration, in addition to the ECG readings, of the clinical data on the patient to formulate the final diagnosis. In order to obtain formalized clinical information, a coding chart including 19 signs with regard to the gradation in the monotonously increasing extent of derangements has been elaborated. The mathematic maintenance of the work using algorithms of image recognition made it possible to derive a linear formula for computing the magnitude of the total diagnostic index. According to its magnitude the patient's pathology can be attributed to one of the three classes: 0--no coronary heart disease. I--steady angina pectoris, II--acute coronary heart disease. Judging from the examination sequence the percentage of errors does not exceed 8.3% with a tendency towards overdiagnosis of coronary heart disease.
Assuntos
Institutos de Cardiologia , Doença das Coronárias/diagnóstico , Eletrocardiografia/métodos , Telemetria/métodos , Adulto , Doença das Coronárias/classificação , Feminino , Humanos , Matemática , Encaminhamento e Consulta , Federação Russa , TelefoneAssuntos
Morte Súbita , Infarto do Miocárdio/prevenção & controle , Adulto , Idoso , Humanos , Matemática , Métodos , Pessoa de Meia-Idade , Infarto do Miocárdio/mortalidade , Prognóstico , Recidiva , RiscoRESUMO
On the basis of the analysis of a 24- to 30-month posthospital phase of rehabilitation in 486 patients with myocardial infarction, critera were elaborated for dividing them into 4 classes with mathematically determined severity index. Criteria for analysing rehabilitation efficacy available for wide practice and a definite algorithm for differentiated management of patients with stage by stage appraisal of the condition and reaching alternate decisions are suggested. The strict dependence of the results of the post-hospital rehabilitation phase on the appraisal of the patients, condition and the corresponding correction of the rehabilitation program is shown.